Why did you take the USMLE's if you're not doing residency in the US?
It is a requirement of most fellowship programs in the US to have completed an ACGME accredited residency i.e. US/Canada. In the past, there have been a few fellows who came from different countries and do a one (or more) year fellowship in other specialties e.g. surgical subspecialties at select programs; but, I believe that has become increasingly rare. Again, I stress most fellowship programs require this. I don't know if your boss has some strings he could pull to get you in somehow...
The lifestyle is better than that of a resident. At my former program, cyto fellows did not take call. After 5 pm it rolled over to the surg path fellows (much to their dismay). It will [should] be a busy service doing stat adequacies, FNA's, 7AM conferences, and such. But, you should have enough time for your family. That's why some people go into path in the first place, so it'd be even more lifestyle friendly as a fellow.
Your scores are good enough. If you tried to apply for July '18 (that's when fellowships start here), I would recommend starting that process about 1-1.5 yrs in advance. It's certainly possible to get something later; but, that way if you were able to get in somehow, you could lock it up before some programs get filled. Again, I think if you really want to go this route, the kicker is completing residency in the US. That is the requirement for almost all fellowships in any specialty. But do your homework and reach out to your contacts because I don't know if other routes are still possible...
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Australasian fellow looking at US fellowship - few questions
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